Discharge Planner - Utilization Management
Prime Healthcare•Montclair, CA
•Onsite
About The Position
Montclair Hospital Medical Center is a 106-bed acute care, not-for-profit community hospital recognized for its quality and community focus. As a member of Prime Healthcare, the hospital offers opportunities to make a difference. This role is in a fast-paced environment serving an underserved community.
Requirements
- Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non-managed care environments.
- Experience in basic to intermediate computer skills/knowledge.
- High School Diploma required.
- Current BCLS certificate required upon hire and maintain current.
Nice To Haves
- Associates degree or LVN license preferred.
- Experience in the hospital setting preferred.
Responsibilities
- Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker assist with development and implementations of discharge plans.
- Assists with case management referrals and authorizations.
- Maintains and coordinates Medicaid state submission forms for presentation to on-site reviewer and files them accordingly or as per facility’s procedure.
- Assists with Discharge Planning as assigned by interviewing patients/families and gathering data to develop a safe patient-focused Discharge Plan.
Benefits
- Paid Time Off
- 401K retirement plan
- Outstanding Medical Dental Vision Coverage
- Tuition Reimbursement
- Many more Voluntary Benefit Options!
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What This Job Offers
Career Level
Mid Level
Education Level
High school or GED
